Broughton R, Fleming J, Fleetham J
Ottawa General Hospital, Vancouver Hospital, Vancouver, Canada.
J Clin Neurophysiol. 1996 Jul;13(4):272-84. doi: 10.1097/00004691-199607000-00002.
Ambulatory home monitoring has been employed for a number of applications. Portable sleep/wake recorders are useful for assessment of the hypersomnias, circadian sleep/wake disorders, parasomnias, and periodic movements in sleep. Wrist actigraphy can usefully approximate sleep versus wake state during 24 h and has been used for monitoring insomnia, circadian sleep/wake disturbances, and periodic limb movement disorder. Home monitoring of cardiopulmonary parameters can be employed for detection and follow-up of sleep-disordered breathing (sleep apnea, upper airway resistance syndrome). The techniques available for portable monitoring, although valuable, do not replace traditional in-laboratory polysomnography for full assessment of a sleep disorder.
动态家庭监测已应用于多种情况。便携式睡眠/觉醒记录仪有助于评估睡眠过多症、昼夜节律性睡眠/觉醒障碍、异态睡眠和睡眠中的周期性肢体运动。手腕活动记录仪可有效估算24小时内的睡眠与觉醒状态，并已用于监测失眠、昼夜节律性睡眠/觉醒障碍和周期性肢体运动障碍。心肺参数的家庭监测可用于睡眠呼吸障碍（睡眠呼吸暂停、上气道阻力综合征）的检测和随访。尽管便携式监测技术很有价值，但并不能替代传统的实验室多导睡眠图对睡眠障碍进行全面评估。
